Base de dados : MEDLINE
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[PMID]:29179829
[Au] Autor:Ben Natan M; Drori T; Hochman O
[Ad] Endereço:Pat Matthews Academic School of Nursing, Hillel Yaffe Medical Centre, 38100, P.O.B. 169, Hadera, Israel. Electronic address: meraav@hy.health.gov.il.
[Ti] Título:The Impact of Mental Health Reform on Mental Illness Stigmas in Israel.
[So] Source:Arch Psychiatr Nurs;31(6):610-613, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study examined public perception of stigmas relating to mental illness six months after a reform, which integrated mental health care into primary care in Israel. The results reveal that the public feels uncomfortable seeking referral to mental health services through the public health system, with Arab Israelis and men expressing lower levels of comfort than did Jewish Israelis. The current reform has not solved the issue of public stigma regarding mental health care. The study suggests that the current reforms must be accompanied over time with appropriate public education regarding mental illness.
[Mh] Termos MeSH primário: Reforma dos Serviços de Saúde/métodos
Transtornos Mentais/etnologia
Serviços de Saúde Mental/utilização
Estigma Social
[Mh] Termos MeSH secundário: Adulto
Árabes/psicologia
Estudos Transversais
Feminino
Seres Humanos
Israel/epidemiologia
Israel/etnologia
Judeus/psicologia
Masculino
Transtornos Mentais/epidemiologia
Setor Público
Fatores Sexuais
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:28468663
[Au] Autor:Plucinski MM; Ferreira M; Ferreira CM; Burns J; Gaparayi P; João L; da Costa O; Gill P; Samutondo C; Quivinja J; Mbounga E; de León GP; Halsey ES; Dimbu PR; Fortes F
[Ad] Endereço:Malaria Branch, Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA, 30329, USA. mplucinski@cdc.gov.
[Ti] Título:Evaluating malaria case management at public health facilities in two provinces in Angola.
[So] Source:Malar J;16(1):186, 2017 05 03.
[Is] ISSN:1475-2875
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Malaria accounts for the largest portion of healthcare demand in Angola. A pillar of malaria control in Angola is the appropriate management of malaria illness, including testing of suspect cases with rapid diagnostic tests (RDTs) and treatment of confirmed cases with artemisinin-based combination therapy (ACT). Periodic systematic evaluations of malaria case management are recommended to measure health facility readiness and adherence to national case management guidelines. METHODS: Cross-sectional health facility surveys were performed in low-transmission Huambo and high-transmission Uíge Provinces in early 2016. In each province, 45 health facilities were randomly selected from among all public health facilities stratified by level of care. Survey teams performed inventories of malaria commodities and conducted exit interviews and re-examinations, including RDT testing, of a random selection of all patients completing outpatient consultations. Key health facility readiness and case management indicators were calculated adjusting for the cluster sampling design and utilization. RESULTS: Availability of RDTs or microscopy on the day of the survey was 71% (54-83) in Huambo and 85% (67-94) in Uíge. At least one unit dose pack of one formulation of an ACT (usually artemether-lumefantrine) was available in 83% (66-92) of health facilities in Huambo and 79% (61-90) of health facilities in Uíge. Testing rates of suspect malaria cases in Huambo were 30% (23-38) versus 69% (53-81) in Uíge. Overall, 28% (13-49) of patients with uncomplicated malaria, as determined during the re-examination, were appropriately treated with an ACT with the correct dose in Huambo, compared to 60% (42-75) in Uíge. Incorrect case management of suspect malaria cases was associated with lack of healthcare worker training in Huambo and ACT stock-outs in Uíge. CONCLUSIONS: The results reveal important differences between provinces. Despite similar availability of testing and ACT, testing and treatment rates were lower in Huambo compared to Uíge. A majority of true malaria cases seeking care in health facilities in Huambo were not appropriately treated with anti-malarials, highlighting the importance of continued training and supervision of healthcare workers in malaria case management, particularly in areas with decreased malaria transmission.
[Mh] Termos MeSH primário: Administração de Caso/estatística & dados numéricos
Instalações de Saúde/estatística & dados numéricos
Malária/prevenção & controle
Setor Público
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Angola
Criança
Pré-Escolar
Estudos Transversais
Feminino
Pessoal de Saúde/estatística & dados numéricos
Seres Humanos
Lactente
Recém-Nascido
Malária/parasitologia
Masculino
Meia-Idade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1186/s12936-017-1843-7


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[PMID]:28464890
[Au] Autor:Buregyeya E; Rutebemberwa E; LaRussa P; Lal S; Clarke SE; Hansen KS; Magnussen P; Mbonye AK
[Ad] Endereço:Department of Disease Control and Environmental Health, Makerere University School of Public Health, Kampala, Uganda. eburegyeya@musph.ac.ug.
[Ti] Título:Comparison of the capacity between public and private health facilities to manage under-five children with febrile illnesses in Uganda.
[So] Source:Malar J;16(1):183, 2017 05 02.
[Is] ISSN:1475-2875
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Public health facilities are usually the first to receive interventions compared to private facilities, yet majority of health seeking care is first done with the latter. This study compared the capacity to manage acute febrile illnesses in children below 5 years in private vs public health facilities in order to design interventions to improve quality of care. METHODS: A survey was conducted within 57 geographical areas (parishes), from August to October 2014 in Mukono district, central Uganda. The survey comprised both facility and health worker assessment. Data were collected on drug stocks, availability of treatment guidelines, diagnostic equipment, and knowledge in management of malaria, pneumonia and diarrhoea, using a structured questionnaire. RESULTS: A total of 53 public and 241 private health facilities participated in the study. While similar proportions of private and public health facilities stocked Coartem, the first-line anti-malarial drug, (98 vs 95%, p = 0.22), significantly more private than public health facilities stocked quinine (85 vs 53%, p < 0.01). Stocks of obsolete anti-malarial drugs, such as chloroquine, were reported in few public and private facilities (3.7 vs 12.5%, p = 0.06). Stocks of antibiotics-amoxycillin and gentamycin were similar in both sectors (≥90% for amoxicillin; ≥50 for gentamycin). Training in malaria was reported by 65% of public health facilities vs 56% in the private sector, p = 0.25), while, only 21% in the public facility and 12% in the private facilities, p = 0.11, reported receiving training in pneumonia. Only 55% of public facilities had microscopes. Malaria treatment guidelines were significantly lacking in the private sector, p = 0.01. Knowledge about first-line management of uncomplicated malaria, pneumonia and diarrhoea was significantly better in the public facilities compared to the private ones, though still sub-optimal. CONCLUSION: Deficiencies of equipment, supplies and training exist even in public health facilities. In order to significantly improve the capacity to handle acute febrile illness among children under five, training in proper case management, availability of supplies and diagnostics need to be addressed in both sectors.
[Mh] Termos MeSH primário: Administração de Caso/estatística & dados numéricos
Febre/terapia
Instalações de Saúde/estatística & dados numéricos
Malária/terapia
Setor Privado/estatística & dados numéricos
Setor Público/estatística & dados numéricos
[Mh] Termos MeSH secundário: Pré-Escolar
Feminino
Pessoal de Saúde/estatística & dados numéricos
Seres Humanos
Lactente
Recém-Nascido
Masculino
Uganda
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RESEARCH SUPPORT, U.S. GOV'T, NON-P.H.S.
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180223
[Lr] Data última revisão:
180223
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s12936-017-1842-8


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[PMID]:27776588
[Au] Autor:Mibei DJ; Kiarie JW; Wairia A; Kamene M; Okumu ME
[Ad] Endereço:National Tuberculosis, Leprosy and Lung Disease Programme, Nairobi, Kenya.
[Ti] Título:Treatment outcomes of drug-resistant tuberculosis patients in Kenya.
[So] Source:Int J Tuberc Lung Dis;20(11):1477-1482, 2016 Nov.
[Is] ISSN:1815-7920
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:SETTING: Successful treatment of drug-resistant tuberculosis (DR-TB) is crucial in preventing disease transmission and reducing related morbidity and mortality. A standardised DR-TB treatment regimen is used in Kenya. Although patients on treatment are monitored, no evaluation of factors affecting treatment outcomes has yet been performed. OBJECTIVE: To analyse treatment outcomes of DR-TB patients in Kenya and factors associated with successful outcome. DESIGN: Retrospective analysis of secondary data from Kenya's National Tuberculosis, Leprosy and Lung disease programme. DR-TB data from the national database for January to December 2012 were reviewed. RESULTS: Of 205 DR-TB patients included in the analysis, 169 (82.4%) had a successful treatment outcome, 18 (9%) died and 18 (9%) were lost to follow-up. Only sex (P = 0.006) and human immunodeficiency virus (HIV) status (P = 0.008) were predictors of successful treatment. Females were more likely to attain treatment success (OR 3.86, 95%CI 1.47-10.12), and HIV-negative status increased the likelihood of successful treatment (OR 3.53, 95%CI 1.4-8.9). CONCLUSION: Treatment success rates were higher than World Health Organization targets. Targeted policies for HIV-positive patients and males will improve treatment outcomes in these groups.
[Mh] Termos MeSH primário: Antituberculosos/uso terapêutico
Tuberculose Resistente a Múltiplos Medicamentos/tratamento farmacológico
Tuberculose Resistente a Múltiplos Medicamentos/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Índice de Massa Corporal
Criança
Pré-Escolar
Dieta
Feminino
Infecções por HIV/tratamento farmacológico
Seres Humanos
Lactente
Recém-Nascido
Quênia/epidemiologia
Perda de Seguimento
Masculino
Meia-Idade
Estado Nutricional
Setor Privado
Setor Público
Estudos Retrospectivos
Resultado do Tratamento
Organização Mundial da Saúde
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antitubercular Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:27776581
[Au] Autor:Uplekar M
[Ad] Endereço:Global TB Programme, World Health Organization, Geneva, Switzerland.
[Ti] Título:Public-private mix for tuberculosis care and prevention. What progress? What prospects?
[So] Source:Int J Tuberc Lung Dis;20(11):1424-1429, 2016 Nov.
[Is] ISSN:1815-7920
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Public-private mix (PPM) for tuberculosis (TB) care implies working with all relevant public and private health care providers to ensure that high-quality TB care is offered to all who need it. Despite significant global progress in PPM expansion and in TB control in general, a large proportion of care providers in high-incidence countries remain unengaged, and one third of the estimated TB cases go unnotified or undetected. OBJECTIVE: To present a global perspective on the progress and prospects of expanding PPM for TB care and prevention. DISCUSSION: People with TB in high-incidence countries approach diverse care providers. Productive working collaborations between national TB programmes and other care providers have been scaled up in many countries. However, a large proportion of private providers still do not participate in collaboration or follow recommended TB management practices. Persisting challenges include weak commitment and capacity to work together within both public and private sectors, poor enforcement of essential regulations and inadequate investments. CONCLUSION: Scaling up PPM programmes is critical to ending the TB epidemic. Investing in implementing bold policies that harness public and private sector capacity, combine collaborative and regulatory approaches and promote modern digital tools to simplify care delivery is the logical way forward.
[Mh] Termos MeSH primário: Assistência à Saúde/tendências
Setor Privado/tendências
Setor Público/tendências
Tuberculose/tratamento farmacológico
Tuberculose/prevenção & controle
[Mh] Termos MeSH secundário: Saúde Global
Seres Humanos
Incidência
Parcerias Público-Privadas
Qualidade da Assistência à Saúde/tendências
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE


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[PMID]:27771545
[Au] Autor:Wang Q; Zhang D; Hou Z
[Ad] Endereço:School of Business, Dalian University of Technology, 2 Dagong Road, Panjin 124221, Liaoning, China. Electronic address: qingwang@dlut.edu.cn.
[Ti] Título:Insurance coverage and socioeconomic differences in patient choice between private and public health care providers in China.
[So] Source:Soc Sci Med;170:124-132, 2016 12.
[Is] ISSN:1873-5347
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:The private health care sector has become an increasingly important complement to China's health care system. During the health care reform in 2009, China's central government established multiple initiatives to relax constraints on the growth of the private health care sector. However, private health services have not been growing as rapidly as private health care facilities. Using data from the China Health and Retirement Longitudinal Study collected between 2011 and 2013, this study investigated patient choice between private and public providers for outpatient care and estimated its relationship with health insurance and socioeconomic status (SES). The Heckman sample selection model was applied to address the problem of selection bias caused by a lack of awareness of provider ownership. We found that 82.1% of the outpatient care users were aware of their provider's ownership, and 23.8% chose private health care providers. Although patients with health insurance and higher SES were more likely to be aware of their provider's ownership, they preferred public providers over private providers. For example, having Urban Employee Basic Medical Insurance was associated with a 16.5% lower probability of choosing private providers than no health insurance. Respondents with the highest level of household expenditure had a 7.5% lower probability of choosing private providers than those with the lowest level of expenditure. The probability of choosing private providers were significantly lower by 4.0% among respondents with an education level of junior high school and above than those with no formal education. For private providers to play an effective role in the health care system, policies that have constrained the growth of the private sector should be changed, and more effort should be directed toward equalizing health insurance coverage for both types of providers.
[Mh] Termos MeSH primário: Comportamento de Escolha
Cobertura do Seguro/normas
Setor Privado/utilização
Setor Público/utilização
Fatores Socioeconômicos
[Mh] Termos MeSH secundário: Idoso
China
Feminino
Reforma dos Serviços de Saúde/métodos
Reforma dos Serviços de Saúde/tendências
Pessoal de Saúde/utilização
Seres Humanos
Cobertura do Seguro/economia
Cobertura do Seguro/estatística & dados numéricos
Masculino
Meia-Idade
Setor Privado/economia
Setor Público/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[St] Status:MEDLINE


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[PMID]:29287120
[Au] Autor:Carreón G; Gershenson C; Pineda LA
[Ad] Endereço:Posgrado en Ciencia e Ingeniería de la Computación, Universidad Nacional Autónoma de México, Ciudad Universitaria, CDMX, México.
[Ti] Título:Improving public transportation systems with self-organization: A headway-based model and regulation of passenger alighting and boarding.
[So] Source:PLoS One;12(12):e0190100, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The equal headway instability-the fact that a configuration with regular time intervals between vehicles tends to be volatile-is a common regulation problem in public transportation systems. An unsatisfactory regulation results in low efficiency and possible collapses of the service. Computational simulations have shown that self-organizing methods can regulate the headway adaptively beyond the theoretical optimum. In this work, we develop a computer simulation for metro systems fed with real data from the Mexico City Metro to test the current regulatory method with a novel self-organizing approach. The current model considers overall system's data such as minimum and maximum waiting times at stations, while the self-organizing method regulates the headway in a decentralized manner using local information such as the passenger's inflow and the positions of neighboring trains. The simulation shows that the self-organizing method improves the performance over the current one as it adapts to environmental changes at the timescale they occur. The correlation between the simulation of the current model and empirical observations carried out in the Mexico City Metro provides a base to calculate the expected performance of the self-organizing method in case it is implemented in the real system. We also performed a pilot study at the Balderas station to regulate the alighting and boarding of passengers through guide signs on platforms. The analysis of empirical data shows a delay reduction of the waiting time of trains at stations. Finally, we provide recommendations to improve public transportation systems.
[Mh] Termos MeSH primário: Simulação por Computador
Modelos Teóricos
Transportes
[Mh] Termos MeSH secundário: Seres Humanos
México
Projetos Piloto
Setor Público
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180207
[Lr] Data última revisão:
180207
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171230
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190100


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[PMID]:29186267
[Au] Autor:Miguel LMZ; Jorge MFS; Rocha B; Miot HA
[Ad] Endereço:Department of Dermatology at the Faculdade de Medicina de Botucatu - Universidade Estadual Paulista "Júlio de Mesquita Filho" (FMB-Unesp), Botucatu, SP, Brasil."
[Ti] Título:Incidence of skin diseases diagnosed in a public institution: comparison between 2003 and 2014.
[So] Source:An Bras Dermatol;92(3):423-425, 2017 May-Jun.
[Is] ISSN:1806-4841
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Epidemiology of diseases is influenced by population socio-demographic circumstances. Therefore it can be modified along the time. There are no studies exploring epidemiological transition in dermatology. This study investigated the incidence of dermatoses in new patients from a Brazilian country town public service in 2003 and 2014. There was a significant increase in the incidence of sexually transmitted diseases, leprosy, melasma, pruritus and hidradenitis suppurativa. However, a prominent reduction in scheduling of appointments for surgeries of benign lesions, drug reactions, urticaria and superficial mycoses was detected. The identification of epidemiological trends guides the dimensioning of health system and professional qualification policies.
[Mh] Termos MeSH primário: Dermatopatias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Brasil/epidemiologia
Seres Humanos
Incidência
Masculino
Meia-Idade
Setor Público
Estudos Retrospectivos
Dermatopatias/diagnóstico
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180131
[Lr] Data última revisão:
180131
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE


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[PMID]:29304049
[Au] Autor:Subramanian S; Gakunga R; Kibachio J; Gathecha G; Edwards P; Ogola E; Yonga G; Busakhala N; Munyoro E; Chakaya J; Ngugi N; Mwangi N; Von Rege D; Wangari LM; Wata D; Makori R; Mwangi J; Mwanda W; East African Economics and Implementation Group (EAEIG)
[Ad] Endereço:Public Health Research Division, RTI International, Waltham, MA, United States of America.
[Ti] Título:Cost and affordability of non-communicable disease screening, diagnosis and treatment in Kenya: Patient payments in the private and public sectors.
[So] Source:PLoS One;13(1):e0190113, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The prevalence of non-communicable diseases (NCDs) is rising in low- and middle-income countries, including Kenya, disproportionately to the rest of the world. Our objective was to quantify patient payments to obtain NCD screening, diagnosis, and treatment services in the public and private sector in Kenya and evaluate patients' ability to pay for the services. METHODS AND FINDINGS: We collected payment data on cardiovascular diseases, diabetes, breast and cervical cancer, and respiratory diseases from Kenyatta National Hospital, the main tertiary public hospital, and the Kibera South Health Center-a public outpatient facility, and private sector practitioners and hospitals. We developed detailed treatment frameworks for each NCD and used an itemization cost approach to estimate payments. Patient affordability metrics were derived from Kenyan government surveys and national datasets. Results compare public and private costs in U.S. dollars. NCD screening costs ranged from $4 to $36, while diagnostic procedures, particularly for breast and cervical cancer, were substantially more expensive. Annual hypertension medication costs ranged from $26 to $234 and $418 to $987 in public and private facilities, respectively. Stroke admissions ($1,874 versus $16,711) and dialysis for chronic kidney disease ($5,338 versus $11,024) were among the most expensive treatments. Cervical and breast cancer treatment cost for stage III (curative approach) was about $1,500 in public facilities and more than $7,500 in the private facilities. A large proportion of Kenyans aged 15 to 49 years do not have health insurance, which makes NCD services unaffordable for most people given the overall high cost of services relative to income (average household expenditure per adult is $413 per annum). CONCLUSIONS: There is substantial variation in patient costs between the public and private sectors. Most NCD diagnosis and treatment costs, even in the public sector, represent a substantial economic burden that can result in catastrophic expenditures.
[Mh] Termos MeSH primário: Financiamento Pessoal/economia
Custos de Cuidados de Saúde
Doenças não Transmissíveis
Setor Privado
Setor Público
[Mh] Termos MeSH secundário: Gerenciamento Clínico
Seres Humanos
Quênia
Doenças não Transmissíveis/terapia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180106
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190113


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[PMID]:29298337
[Au] Autor:Zhang W; Su Y; Ke R; Chen X
[Ad] Endereço:School of Traffic and Transportation, Northeast Forestry University, Harbin, China.
[Ti] Título:Evaluating the influential priority of the factors on insurance loss of public transit.
[So] Source:PLoS One;13(1):e0190103, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Understanding correlation between influential factors and insurance losses is beneficial for insurers to accurately price and modify the bonus-malus system. Although there have been a certain number of achievements in insurance losses and claims modeling, limited efforts focus on exploring the relative role of accidents characteristics in insurance losses. The primary objective of this study is to evaluate the influential priority of transit accidents attributes, such as the time, location and type of accidents. Based on the dataset from Washington State Transit Insurance Pool (WSTIP) in USA, we implement several key algorithms to achieve the objectives. First, K-means algorithm contributes to cluster the insurance loss data into 6 intervals; second, Grey Relational Analysis (GCA) model is applied to calculate grey relational grades of the influential factors in each interval; in addition, we implement Naive Bayes model to compute the posterior probability of factors values falling in each interval. The results show that the time, location and type of accidents significantly influence the insurance loss in the first five intervals, but their grey relational grades show no significantly difference. In the last interval which represents the highest insurance loss, the grey relational grade of the time is significant higher than that of the location and type of accidents. For each value of the time and location, the insurance loss most likely falls in the first and second intervals which refers to the lower loss. However, for accidents between buses and non-motorized road users, the probability of insurance loss falling in the interval 6 tends to be highest.
[Mh] Termos MeSH primário: Acidentes de Trânsito
Seguro
Setor Público
Transportes
[Mh] Termos MeSH secundário: Algoritmos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180129
[Lr] Data última revisão:
180129
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180104
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190103



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